Individual
TARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 VARDEN HILL DR, BIRMINGHAM, AL 35214-1945
(205) 281-5437
Mailing address
241 VARDEN HILL DR, BIRMINGHAM, AL 35214-1945
(205) 281-5437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-105506
AL
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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